根据韩国干眼症指南制定委员会的文献综述,制定了新的韩国干眼症诊断和管理指南。韩国角膜疾病研究组以前的干眼症指南,对韩国干眼症协会(KDES)成员的调查,和KDES共识会议。干眼症的新定义也由KDES正式成员提出。KDES常规成员的新定义如下:“干眼症是一种以泪膜异常和眼部症状为特征的眼表疾病。”眼部症状和不稳定泪膜(泪液破裂时间<7s)的组合被认为是诊断干眼的重要组成部分。Schirmer试验和眼表染色被认为是辅助诊断标准。治疗指南包括根据房水缺乏占主导地位的简化逐步方法,蒸发占主导地位,和改变泪液分布亚型。新的韩国指南可以作为一个简单的,有效,在临床实践中诊断和管理干眼症的工具。
New Korean
guidelines for the diagnosis and management of dry eye disease were developed based on literature reviews by the Korean Dry Eye
Guideline Establishment Committee, a previous dry eye
guideline by Korean Corneal Disease Study Group, a survey of Korean Dry Eye Society (KDES) members, and KDES
consensus meetings. The new definition of dry eye was also proposed by KDES regular members. The new definition by the regular members of the KDES is as follows: \"Dry eye is a disease of the ocular surface characterized by tear film abnormalities and ocular symptoms.\" The combination of ocular symptoms and an unstable tear film (tear breakup time <7 seconds) was considered as essential components for the diagnosis of dry eye. Schirmer test and ocular surface staining were considered adjunctive diagnostic criteria. The treatment
guidelines consisted of a simplified stepwise approach according to aqueous deficiency dominant, evaporation dominant, and altered tear distribution subtypes. New Korean
guidelines can be used as a simple, valid, and accessible tool for the diagnosis and management of dry eye disease in clinical practice.